Built for California assisted living. Your team dictates at the bedside. CareTrace writes shift notes, incident reports, and service plans into your EHR.
What CareTrace produces
One bedside observation becomes a survey-ready note, structured for California Title 22 and routed for licensed review before it reaches the EHR.
Staff speak. CareTrace writes what actually ends a shift: shift notes, incident reports, service plans. A licensed nurse signs before anything reaches the EHR.
CareTrace is built for California RCFEs. Incident reports are structured around Title 22 §87211, including the event timeline, injury assessment, notifications, and follow-up. ADL, skin, behavior, and change-of-condition observations route to licensed review before any artifact reaches the EHR.
A real 7pm to 7am shift inside a California assisted living community. Seven moments where a Care Manager, Med Tech, or nurse documents, and each one is handled while the shift is still moving.
Maria pulls out her phone at the hallway cart. CareTrace opens to the residents she is covering for the shift, with the mic one tap from every row. The community's consent notice is confirmed before a microphone ever opens.
By 7 AM the shift is documented, signed, and in the EHR. Nothing is waiting to be typed.
Interruptions, corrections, call bells, half-sentences. CareTrace pulls the signed Title 22 §87211 out of the way it actually gets said.
Catheter 100mL clear. Refused breakfast, accepted Ensure.
Care Manager · routineRefused 8pm meds. Pushed cup, said not tonight. Settled after 20 min.
Med Tech captured · RN reviewedReddened area on sacrum during pericare. Did not blanch when pressed. No broken skin.
Care Manager observed · RN started skin assessmentFound on floor left of bed. Says she's okay. No visible injury. Called nurse.
RN alert charting · LIC 624 drafted · family + MD call queuedFive places to write the same observation, now one. Care Manager notes route to the assigned Nurse the moment they're written. By 10 AM the night is reviewed and signed.
A secure browser extension fills the fields the reviewer would otherwise type by hand.
Care staff dictate during the shift. CareTrace drafts the note, and a licensed reviewer edits and signs it. The extension then files that signed note into the community's existing EHR.
We map the workflow during the pilot, starting with assisted living systems such as YardiOne and ElderMark. There is no rip-and-replace project and no second chart for the team to maintain.
There's no separate contract with each EHR vendor, and it runs on the reviewer's own computer. It only copies text the reviewer already signed off on, so nothing new leaves the building.
Encryption in transit and at rest. Role-based access. Full audit trail.
Signed before any PHI enters our systems.
Not our models, not any third party's.
All PHI stored and processed in U.S. regions.
Every access to a resident record is logged and exportable.
Observation window underway; security packet on request.
Fifteen-minute walkthrough on your community's workflow. We bring the voice capture, the EHR fill, and the security packet. You bring the questions that actually matter.